ColoradoSB25-2902025 Regular SessionSenate

Stabilization Payments for Safety Net Providers

Sponsored By: Barbara Kirkmeyer (Republican), Kyle Brown (Democratic), Kyle Mullica (Democratic), Shannon Bird

Signed by Governor

Health Care & Health Insurance

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Backup money protects unclaimed-property claim payments

The Treasurer must use General Fund money when unclaimed-property claims exceed the Unclaimed Property Trust Fund’s balance. The transfer must cover the amount needed to pay claims. The Treasurer must tell the Joint Budget Committee about the transfer and its amount. The law does not change who qualifies to claim unclaimed property.

More funding for safety-net health providers

Colorado creates stabilization payments to help safety-net health providers maintain care for low-income uninsured patients and Medicaid and Children’s Basic Health Plan members. Eligible providers include federally qualified health centers, rural health clinics, comprehensive community behavioral health providers, and primary care providers whose caseload is at least 50% Medicaid, Children’s Basic Health Plan, or low-income uninsured patients. Providers must offer free or sliding-fee care and submit eligibility evidence and patient counts each year, counting people rather than visits. Payments depend on each provider’s share of eligible uninsured patients: people earning no more than 200% of the federal poverty guideline, without Medicaid, Medicare, Children’s Basic Health Plan coverage, or any third-party payment for the service. Payments require annual legislative funding and add to, rather than replace, General Fund reimbursements; they are exempt from state procurement rules. For 2025–26, the law provides $25 million: $24.845595 million for provider payments, $138,505 for two additional staff positions, and $15,900 for operating costs. A nine-member, Governor-appointed advisory board guides the program; initial appointments are due August 1, 2025, and the board is scheduled to end September 1, 2031, subject to review. Annual reports begin September 1, 2026, and continue indefinitely, showing patients served and payments to each provider.

State loans fund safety-net health care

Colorado creates the Provider Stabilization Fund, financed by $90 million in interest-free loans from the Unclaimed Property Trust Fund. The required loans arrive August 1: $25 million in 2025, $20 million in 2026, and $15 million each year from 2027 through 2029. Trust-fund interest finances the loans; principal must cover any shortfall. Repayment is due January 1, 2045; for fiscal years beginning July 1, 2026, or later, revenues at or below the state spending limit trigger a required proposal for earlier repayment. The fund also accepts gifts, grants, donations, and state funding, and the health department must use its money to obtain federal matching funds. Spending is limited to program purposes and requires annual legislative approval, including spending of federal matching funds. These interfund loans do not count as state revenue or spending under the state spending limit, and investment earnings go to the General Fund rather than this program.

Sponsors & Cosponsors

Sponsors

  • Barbara Kirkmeyer

    Republican • Senate

  • Kyle Brown

    Democratic • House

  • Kyle Mullica

    Democratic • Senate

  • Shannon Bird

    Affiliation unavailable

Cosponsors

  • Andrew Boesenecker

    Democratic • House

  • Amy Paschal

    Democratic • House

  • Brianna Titone

    Democratic • House

  • Chad Clifford

    Democratic • House

  • Emily Sirota

    Democratic • House

  • Gretchen Rydin

    Democratic • House

  • Jennifer Bacon

    Democratic • House

  • Junie Joseph

    Democratic • House

  • Julie McCluskie

    Democratic • House

  • Jacque Phillips

    Democratic • House

  • Karen McCormick

    Democratic • House

  • Katie Stewart

    Democratic • House

  • Lindsay Gilchrist

    Democratic • House

  • Lesley Smith

    Democratic • House

  • Michael Carter

    Democratic • House

  • Meg Froelich

    Democratic • House

  • Mandy Lindsay

    Democratic • House

  • Meghan Lukens

    Democratic • House

  • Manny Rutinel

    Democratic • House

  • Matt Soper

    Republican • House

  • Naquetta Ricks

    Democratic • House

  • Ryan Gonzalez

    Republican • House

  • Sean Camacho

    Democratic • House

  • Steven Woodrow

    Democratic • House

  • Tisha Mauro

    Democratic • House

  • Cathy Kipp

    Democratic • Senate

  • Sen. F. Winter

    Affiliation unavailable

  • James Coleman

    Democratic • Senate

  • Julie Gonzales

    Democratic • Senate

  • Janice Marchman

    Democratic • Senate

  • Larry Liston

    Republican • Senate

  • Matt Ball

    Democratic • Senate

  • Mike Weissman

    Democratic • Senate

  • Sen. P. Lundeen

    Affiliation unavailable

  • Rod Pelton

    Republican • Senate

  • Robert Rodriguez

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 249 • No: 68

Senate vote • 5/7/2025

House amendments: Repass

Yes: 34 • No: 1

Senate vote • 5/7/2025

House amendments: Concur

Yes: 34 • No: 1

House vote • 5/7/2025

Third reading: Bill

Yes: 54 • No: 11

House vote • 5/6/2025

Committee of the whole: Amd (h.001)

Yes: 19 • No: 38

House vote • 5/5/2025

Adopt amendment L.021

Yes: 2 • No: 8

House vote • 5/5/2025

Refer Senate Bill 25-290, as amended, to the Committee of the Whole.

Yes: 6 • No: 4

House vote • 4/30/2025

Refer Senate Bill 25-290, as amended, to the Committee on Appropriations.

Yes: 12 • No: 1

Senate vote • 4/28/2025

Third reading: Bill

Yes: 33 • No: 1

Senate vote • 4/28/2025

Third reading: Amend (l.010)

Yes: 31 • No: 3

Senate vote • 4/25/2025

Refer Senate Bill 25-290, as amended, to the Committee of the Whole.

Yes: 7 • No: 0

Senate vote • 4/22/2025

Refer Senate Bill 25-290, as amended, to the Committee on Appropriations.

Yes: 9 • No: 0

Senate vote • 4/17/2025

Refer Senate Bill 25-290 to the Committee on Finance.

Yes: 8 • No: 0

Actions Timeline

  1. Governor Signed

    5/28/2025House
  2. Signed by the President of the Senate

    5/14/2025Senate
  3. Signed by the Speaker of the House

    5/14/2025House
  4. Sent to the Governor

    5/14/2025House
  5. House Third Reading Passed - No Amendments

    5/7/2025House
  6. Senate Considered House Amendments - Result was to Concur - Repass

    5/7/2025Senate
  7. House Second Reading Special Order - Passed with Amendments - Committee

    5/6/2025House
  8. House Committee on Appropriations Refer Amended to House Committee of the Whole

    5/5/2025House
  9. House Committee on Health & Human Services Refer Amended to Appropriations

    4/30/2025House
  10. Introduced In House - Assigned to Health & Human Services

    4/29/2025House
  11. Senate Third Reading Passed with Amendments - Floor

    4/28/2025Senate
  12. Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole

    4/25/2025Senate
  13. Senate Second Reading Special Order - Passed with Amendments - Committee

    4/25/2025Senate
  14. Senate Committee on Finance Refer Amended to Appropriations

    4/22/2025Senate
  15. Senate Committee on Health & Human Services Refer Unamended to Finance

    4/17/2025Senate
  16. Introduced In Senate - Assigned to Health & Human Services

    4/14/2025Senate

Bill Text

  • Engrossed

  • Final Act

  • House Appropriations Preamend

  • House Health & Human Services Preamend

  • Introduced

  • Reengrossed

  • Rerevised

  • Revised

  • Senate Appropriations Preamend

  • Senate Finance Preamend

  • Signed Act

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